Provider Demographics
NPI:1407053879
Name:DHIR, GAURI (MD)
Entity Type:Individual
Prefix:DR
First Name:GAURI
Middle Name:
Last Name:DHIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GAURI
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10208 CERNY ST
Mailing Address - Street 2:SUITE #110
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617
Mailing Address - Country:US
Mailing Address - Phone:984-215-4590
Mailing Address - Fax:352-273-7441
Practice Address - Street 1:10208 CERNY ST
Practice Address - Street 2:SUITE #110
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617
Practice Address - Country:US
Practice Address - Phone:984-215-4590
Practice Address - Fax:352-273-7441
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 433685208M00000X
FLME125441207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015803900Medicaid
FL015803900Medicaid